Can Deep Kissing After Wisdom Tooth Extraction Transmit HIV or Syphilis? - Internal Medicine

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Infection issues


Hello, doctor.
I apologize for bothering you.
I would like to ask you a question.
It has been about 15 days since I had my wisdom teeth removed, and there is no bleeding or pain at the wound site.
If I engage in deep kissing with someone, is there a risk of contracting HIV or syphilis? I’m sorry to trouble you.

j, 20~29 year old female. Ask Date: 2023/02/16

Dr. Liao Zhongxin reply Internal Medicine


1.
Infection is only possible if the other person has syphilis or HIV and is irregular in their medication or has not yet been treated.
2.
Moreover, each individual's immune system varies, and significant exposure through larger wounds or bleeding is necessary for the possibility of infection.

Reply Date: 2023/02/16

More Info


Deep kissing after wisdom tooth extraction raises valid concerns regarding the transmission of sexually transmitted infections (STIs) such as HIV and syphilis. However, the risk associated with deep kissing in this context is generally considered to be low, especially if there are no visible wounds or bleeding in the mouth.

First, let's address the mechanics of HIV and syphilis transmission. HIV is primarily transmitted through direct contact with certain body fluids from a person who has HIV, including blood, semen, vaginal fluids, rectal fluids, and breast milk. The virus is not transmitted through saliva in significant amounts, which means that deep kissing, while it may involve some exchange of saliva, is not a common route for HIV transmission. The Centers for Disease Control and Prevention (CDC) categorizes deep kissing as a medium-risk activity, primarily due to the potential for exposure to blood if either partner has oral wounds or sores.

In your case, since you mentioned that it has been 15 days since your wisdom tooth extraction and that there is no bleeding or pain, the risk of transmitting HIV through deep kissing is quite low. However, if there were any cuts or sores in your mouth or the other person's mouth, the risk could increase. It's also important to consider the health status of the partner you are kissing. If they are HIV positive and have a high viral load, the risk could be higher, but again, the likelihood of transmission through kissing remains low.

Regarding syphilis, it is primarily transmitted through direct contact with syphilis sores, which can occur in the genital area, anus, or mouth. If either you or your partner has syphilis sores, there is a risk of transmission through deep kissing. However, if both parties are healthy and free of sores, the risk is minimal.

It's also worth noting that while you may be concerned about the possibility of infection, the symptoms you experience post-extraction, such as soreness or discomfort, are typically related to the healing process rather than indicative of an STI. If you are experiencing unusual symptoms, it is always best to consult a healthcare professional for a thorough evaluation.

In summary, while deep kissing after wisdom tooth extraction does carry some risk for STIs, the likelihood of contracting HIV or syphilis in your specific situation appears to be low, especially given the absence of bleeding or visible sores. However, if you have ongoing concerns or if you engage in sexual activities that may increase your risk of STIs, consider getting tested and discussing your concerns with a healthcare provider. Regular STI screenings are an important part of maintaining sexual health, especially if you have multiple partners or engage in high-risk behaviors.

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